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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE rD/srG.COMMENTS
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation _l
<br />Ro of Sheathing 3-2t-17 /Er
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif.
<br />)
<br />FINAL +-fl-/q /1&21
<br />Certificate of Occu pancy
<br />Notes, Remarks, Etc
<br />OWNER BUILDER DEIIAR TION
<br />I h6.tr lm ui& Ful, of FFry thr I m 6onF too th. cod,!dd' l-i.ru tr* for Efolllst,c.tsEToilt
<br />BauB ild Prolsn Co<l)r Aiy Cny or Cody *hih r.qun6 . Fni lo @!dru.r. .is, inrpreve datulilll or re.n ty
<br />,MEq FE to ir. iM.. .to r.+c rh. eltd for Bh paln lo 6k r rE cd nr@r rlli lt or rlE a lidE d Fl,Id
<br />ro tlE Foviiiod of dE Co ,.io.! LEN.d Llv (clEFq 9. Comtritrs *nh S.nion '7000 ot Divilr, :l ot rh. B6i.6 .!d
<br />PbftsioN C6d.) rh.r lE d 3lr a aolpr rhadon rnd dr bG! tor rlr.lhscd doqrbo A,y riohio. of sabn ,011 5 bto,
<br />.p?lt&l for. Fni sqeB ilE ,p9li.ui ro ! civil p.uny of d @rc rha ft. h!n&.d &[,8 ($m,
<br />_1. a o$c or$. FoFr,, ot ny d@lor6 vnh vrsB B $.n hk conFldi.n. rill & tlE sqt ed E nnEr4 ! ol
<br />i a!.t d m olI6.d for $b lsc 7044. &!ind dd Proi*lioN ( od. TIE Codnctd's Li.@ tlw d.d mr lpply lo u ow of
<br />rh. FbFry *lb hril& or lrFoE $seq ad who !b6 rEt so.t tin!.ll o. h*lf or llwush his or h- 6vn .mrto)€6.
<br />p.ovid.d lhd tu.h inFiEEnr E. tul i oxLd or ofis.d 6r $k. ll ho*E6. llE hiBna or rpro\Mn n $B within on. ,*
<br />olcompldiotr lh. (rn6 &ilda wil haw lh. hrda of provir'8 thi lr or !h. did mt build or inprorc tn. lrtrrEry tor lhc Ffpoe oI
<br />-1.
<br />B onE olrh. FrFry. u q(luiv.ly otualine wnh licd8 d $lnidoE lo ordrurl lh. Fojdl (S< ?(}.l,t, BG!6
<br />.rd ftDfrsn co& Ihc Contdoar Li.@ l-* do6 @r r!pl, ro m o*n6 of FoFry sh. boilds or inpmvB thson.
<br />,!d $ho @nrrrl' tu ut FDlnr *nh. Conrreo(r lraE d Frrlid ro
<br />'h.
<br />Codrcrd-r Lilg L^ )
<br />-l
<br />D.roF ulds SalEn- B. & P.C forlha rsn
<br />\lotu(.Rs' comtEnsAT(tNpsctdSarq!
<br />I hd.b' rmm u.dd pady of Fjrry orc of rh. tollo\ inB &.lr io6
<br />-l
<br />hlvc ud will mainllh ! ( cnifrar. of CotMr to S.lf-l6ur. for ertdr' cohr.^eri6., s prcvid.d for by Srlh. I700 oarh.
<br />.Ld,or Cci., lor lh. pan,,rMc. of rhc Mlt ior s,fith rh. p6m ir su.jJr\,-l:tlrv. rd * 'll m.inr.'n wo*.o' .onp.B.r 6n EUrM.q 6 r.qund by sdl i6n 1700 of rh. kbor ( od., for rlE Ftomuc. of
<br />dE wl for which rhi! pqnn ir iq.d M, wqt6 comrEBdio. irouo.. .rid ,!d policy Dmba El, S+".r-- Qan^ pe r. S- + i rv.. -5wnal
<br />q7-3tZz7-5 - rt.zoter
<br />-l
<br />cd!ry 'h! i. rh. FlorI*. of rlE $ork lor whih rhir pdnn n isu.d.l tlEllmr dploy uy pq$n in e, ooE
<br />$ a lo b<oft st €r ro rlt 6ia' comFEnion h*! of C.l"omL .d {r rhd il I $ould bdoc $!rn ro tlE
<br />@.t6 comrd'!.lion pmliioE of S.clio! l7(rJ olllE l.b.r Codq I Jull lonhrnh @mpty vilh 0r* Flvisird
<br />WARNINC t.ils. b s@ m d @nFu6n .ov-.C.
<br />civil ,in6 up
<br />'o
<br />on. hutri.rl lhoB.rd dollB (lloo.Olxl), in
<br />Sdrion 10?6 ofrlE llt$ ('oda inl66l ud !ftorEy ! f6
<br />oDlols ro ainrul Dad6 irn
<br />mn. ddq6 6 rnorijql tor rhc
<br />o"".' 3 .7 t '? otot a
<br />I h6.by ailfln und6 Fnlhy oI p<rjury lhd I m lic.G.d u..Lr 'Bn'noI(lEdc a (mnnffiins wnh s6lD. '7(j(xjl .l D'rsEn l
<br />of th.lturiB ud PNfsioB cod., an m, lh@ b i, tul
<br />o^" ' j'2 t 2c4 q , -'*.. *
<br />I h@by lrm undd Frlry or pdiury th, ln@ L . codddbn
<br />isr.d (56. 1097, ( ir. ( ).
<br />.8acy for rh. Ff(]Il@cc ottic tro ftr*tl{hrhlr,lnni it
<br />AIIUCAILIEII.AAAIIqB
<br />I lEtt.trm u,id F.lt, of lapry oE oailE aoll,sirS (hl,[ ioN
<br />Dsehir. Pdmir'Alb.lot N6rin.ib. f.dorl f,cgublbd {Tdlc rr0, Par6)
<br />-R.quirld
<br />tlld of N.ri6.t6
<br />-l
<br />cgr rfy rh.l rh. f.da.l ieuhrioB rE8r(tlla abGror rm\.1 dc ml q'rlt.t L lo rha prcJcr
<br />SO.d't rhd I h!.cE drhB,mrKd
<br />od,1M6sd Srd.lr*r ELrru ro hlr
<br />io. en !rai. rhn rlE d.r. i.loldin 6..tu I.BGro Nnplywnh.ll (ily ard Counly
<br />&n hd.br .dr$ru. t.FMrdn6 of rhis Cir, 6d Counry ro 6rs q-n rlE
<br />ato!. n6rion.d lmpdy fM iBF(1io.
<br />Appli.rtrt or Agmr SI*n Ur(
<br />PermilF n,nr I prinr ): g(lJi(d;nc
<br />D,," - 3'Z l'Zotc1
<br />tiflE&L
<br />Li..e - I oz9?5 V
<br />Forms/Steel/Holdowns
<br />Ext./lnt. Lath
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